NPI | 1972749133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P2311011) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 419-L) |
Enumeration Date | 2008-12-18 |
Last Update Date | 2023-12-14 |